Anterior cervical spine surgery for cervical disc radiculopathy was first described by Smith and Robinson. Hardware placement in the anterior cervical spine began in the 1980s, primarily for anterior stabilisation of cervical spine trauma. Later, its use extended into the management of cervical radiculopathy in the form of discectomy and arthrodesis. Anterior cervical discectomy and fusion and anterior cervical corpectomy and fusion are now well-recognised as favourable methods of fixation for cervical spine spondylotic myelopathy, traumatic spine, ossification of posterior longitudinal ligament, neoplasia and infection. However, numerous complications have been reported following anterior cervical surgery. Immediate complications include oesophageal rupture, recurrent laryngeal nerve injury, cerebrospinal fluid leakage, vascular complications, worsening of neurological status, etc. Among late complications, they are systemic sepsis, abscess formation, mediastinitis, screw pullout, plate failure and fistula formation, etc. We present a case report of a 64-year-old male who presented with spontaneous asymptomatic dislodgement of parts of the anterior cervical plating system through the posterior wall of hypopharynx 2 years after the index surgery.
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